NPIMap

Organization Active NPI

Carlito P Ilawan DDS Covington Inc

  • Dentist
  • Covington, LA
National Provider Identifier
1881709558
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4361 Issued in LA
Legal business name
CARLITO P ILAWAN DDS COVINGTON INC
Practice address
308 South Tyler Street
Covington, LA 70433
Phone
(504) 453-1409
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Carlito P Ilawan, MD
Title
President
Phone
(504) 453-1409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4361 LA Primary

Addresses

Primary practice location

308 South Tyler Street
Covington, LA 70433

Mailing address

308 South Tyler Street
Covington, LA 70433
Phone (504) 453-1409

National Provider Directory

National Provider Directory

Locations

308 S Tyler St
Covington, LA 70433
Phone (504) 453-1409

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1881709558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 SOUTH TYLER STREET",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "504-453-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 SOUTH TYLER STREET",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "504-453-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLITO P ILAWAN DDS COVINGTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "ILAWAN",
        "authorized_official_first_name": "CARLITO",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-453-1409",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "LA",
            "license": "4361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.